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,A nurse is following the goals of Healthy People 2030 to provide care. Which action should the
nurse take?
a) Allowing people to continue current behaviors to reduce the stress of change.
b) Focusing only on health changes that will lead to better local communities.
c) Focusing on illness treatment to provide fast recuperation.
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d) Promoting a society in which all people live long, healthy lives (Correct) - ANS Healthy
People sets objectives to help the United States increase its focus on health promotion and
disease prevention (instead of illness care) and encourages cooperation among individuals,
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communities, and other public, private, and nonprofit organizations to improve health. The
current publication, Healthy People 2030, promotes a society in which all people live long,
healthy lives. The goals do not include continuing current behaviors to reduce stress, focusing
only on health changes for communities, or focusing on fast recuperation.
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The nurse is preparing a smoking cessation class for family members of clients with lung
cancer. The nurse believes that the class will convert many smokers to nonsmokers once they
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realize the benefits of not smoking. Which health care model is the nurse following?
a) Maslow's hierarchy of needs.
b) Health promotion model (Correct)
c) Health belief model.
d) Holistic health model. - ANS B
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A nurse is assessing internal variables that are affecting the client's health status. Which area
should the nurse assess?
a) Cultural background.
b) Socioeconomic factors.
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c) Family practices.
d) Perception of functioning (Answer) - ANS Internal variables include a person's
developmental stage, intellectual background, perception of functioning, and emotional and
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spiritual factors. External variables influencing a person's health beliefs and practices include
family practices, socioeconomic factors, and cultural background.
The nurse is working in a clinic that is designed to provide health education and immunizations.
Which type of preventive care is the nurse providing?
a) Primary prevention (Answer)
b) Risk factor prevention.
c) Secondary prevention.
d) Tertiary prevention. - ANS Primary prevention precedes disease or dysfunction and is
applied to people considered physically and emotionally healthy. Primary prevention includes
, health education programs, immunizations, and physical and nutritional fitness activities.
Secondary prevention focuses on individuals who are experiencing health problems or illnesses
and who are at risk for developing complications or worsening conditions. Activities are directed
at diagnosis and prompt intervention. Tertiary prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the effects of long-term disease or disability
through interventions directed at preventing complications and deterioration. While risk factor
modification is an integral component of health promotion, it is not a type of preventive care.
The client is admitted to the emergency department of the local hospital from home with reports
of chest discomfort and shortness of breath. The client is placed on oxygen, has labs and blood
gases drawn, and is given an electrocardiogram and breathing treatments. Which level of
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preventive care is this client receiving?
a) Secondary prevention (Answer)
b) Primary prevention.
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c) Health promotion.
d) Tertiary prevention. - ANS Secondary prevention focuses on individuals who are
experiencing health problems or illnesses and who are at risk for developing complications or
worsening conditions. Activities are directed at diagnosis and prompt intervention. Primary
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prevention precedes disease or dysfunction and is applied to people considered physically and
emotionally healthy. Health promotion includes health education programs, immunizations, and
physical and nutritional fitness activities for healthy people. Tertiary prevention occurs when a
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defect or disability is permanent and irreversible. It involves minimizing the effects of long-term
disease or disability through interventions directed at preventing complications and
deterioration.
Upon completing a history, the nurse finds that a client has risk factors for developing lung
disease. How should the nurse interpret this finding?
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a) The chances of getting the disease are increased (Answer)
b) Risk modification will have no effect on disease prevention.
c) The disease is guaranteed not to develop if the risk factor is controlled.
d) A person with the risk factor will get the disease. - ANS The presence of risk factors
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does not mean that a disease will develop, but risk factors increase the chances that the
individual will experience a particular disease or dysfunction. Control of risk factors does not
guarantee that a disease will not develop. However, risk factor modification can assist patients
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in adopting activities to promote health and decrease risks of illness.
Which areas should the nurse assess to determine the effects of external variables on a client's
illness? (Select all that apply.)
a) Client's perception of the illness.
b) Client's coping skills.
c) Socioeconomic status (Answer)
d) Social support (Answer)
e) Cultural background (Answer) - ANS External variables influencing a client's illness
behavior include the visibility of symptoms, social group, cultural background, economic